title: Hybrid simulation during military medical student field training--a novel curriculum.
abstract: OBJECTIVE
  Implement a new hybrid simulation curriculum into the Uniformed Services University of the Health Sciences Bushmaster Field Training Exercise for fourth-year medical students. The principal goal was to determine if high-fidelity hybrid simulation could be successfully implemented in a field environment. The secondary goals were to enhance the medical realism of training, allow students to practice crucial combat emergency medical skills and management in stressful field conditions, and develop medical team leadership.
  
  
  METHODS
  Low-, mid- and high-fidelity simulators were used in combination with standardized patients in a variety of field clinical settings. Students were given multiple opportunities to interact with the hybrid simulations. Student feedback about the simulation training was sought as part of their normal after-course critiques.
  
  
  RESULTS
  High-fidelity simulation can be successfully implemented in combat-simulated field conditions, and QA feedback indicated very positive perceptions from students.
  
  
  CONCLUSIONS
  Multiple modality hybrid simulation can be successfully implemented into large-scale military medical field exercises, and appears beneficial for multiple educational goals.
authors.affiliation: Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
authors.forename: Craig
authors.initials: C
authors.lastname: Goolsby
authors.forename: Shad
authors.initials: S
authors.lastname: Deering
mesh_terms: D001291:Attitude of Health Personnel; D003198:Computer Simulation; D004504:Education, Medical, Undergraduate / Q000379:methods*; D006801:Humans; D008348:Manikins; D008887:Military Medicine / Q000193:education*; D016544:Patient Simulation; D013334:Students / Q000523:psychology; D014481:United States